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CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> Ai:DRESS OR LEGAL: /�1 Z� L�ohntS YOrNr PID: <br /> D$SGRIPTION OF WORR: q C����"� W rn+��� <br /> --------------------------------- <br /> ZONING REVIEW BY: /`�Ll� DATE APPROVED: <br /> BIIILDING REVIEW BY: DATE APPROVED: y-7'y 7 <br /> --------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes No �� SEWER CONNECTION <br /> STATE SURCHARGE Yes�No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ./� PARR FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------- <br /> ZONING CHECR LIST Zoning District: / <br /> Fire Departm nt: Post Offic : choo� District: <br /> Lot Area: Wi th: De th: <br /> Survey Submi t d: Yes o Date of Survey: <br /> Proposed Set a s: <br /> Front ( ak ) : Righ Side: <br /> Rear ( tre t) : Left Side: <br /> Adjace t St uctures: W tland: <br /> Buil.ding He ght: Def . Hg . Peak Hgt. <br /> Avg. Setbac : Lot verage: <br /> Exist ng Pr posed <br /> Hardcover: 0-75 ' <br /> 7 -250 ' <br /> 25 -500 ' <br /> 500 1000 ' <br /> Hardcover ariance Req ir d: Yes o Date of Cou cil Approva�: <br /> Grading: S aff Approval D te: / By: Council Approva� Date: <br /> Septic: St ff Approval D e: By= <br /> Zoning File�:� Resolution # : Resolut`ion Date: <br /> REMARRS (in house) : <br /> �� , <br />